Active NPI
Amy Endsley, ED.S
- School Psychologist
- Crystal River, FL
National Provider Identifier
1619105160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS585
- Practice address
- 6171 W Gulf to Lake Hwy
Crystal River, FL 34429-2679 - Phone
- (352) 637-6730
- Fax
- (352) 637-6745
- NPI assigned
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS585 | FL | Primary |
Addresses
Primary practice location
6171 W Gulf to Lake Hwy
Crystal River, FL 34429-2679
Mailing address
PO Box 1075
Inverness, FL 34451-1075
Phone (352) 637-6130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS585 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1619105160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1075",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344511075",
"telephone_number": "352-637-6130",
"fax_number": "352-637-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6171 W GULF TO LAKE HWY",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344292679",
"telephone_number": "352-637-6730",
"fax_number": "352-637-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDSLEY",
"first_name": "AMY",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.